The mission of the Medical Records Department is to maintain clear and complete medical record on every patient who was admitted and discharged from the hospital, who was treated in the Emergency Department or ambulatory care units or received any service from AUBMC . The information is gathered from each patient encounter and is retrieved whenever necessary to enhance patient care. Furthermore, the Medical Records Department is committed to assist the medical staff and other health care professionals of the Medical Center in their duties and responsibilities to maintain timely completion and proper documentation of the patient care in the medical record.

Transcription of patient information by providing and coordinating a centralized dictation/ transcription system

Availability and accessibility to patient information: The medical record shall be made available to healthcare providers involved directly in patient care in a timely manner.

Retrieval and review of medical records for review, research, presentation, or preparation of case reports

Coding of medical records using ICD-9-CM classification system

Medical Record Analysis for completeness, timeliness, and proper documentations as required by bylaws and rules and regulations of the medical staff, MOH and JCI standards

Retention of Records: AUBMC shall retain permanently all health information in its original paper form for a period of 10 years from the patient’s last treatment and 10 years after the patient reaches age of majority (18 years). AUBMC shall create a microfilm or an electronic copy and destroy the hard copy of medical records after the specified retention period by shredding or using other suitable means